Audio Qbank – Q290 – A 64M with dyspnea

 

A 64-year-old man with type II diabetes mellitus is brought in by ambulance for a 2-hour history of dyspnea and chest tightness. ECG shows ST-elevations in the anterior leads. A chest x-ray is shown.

Which of the following combinations of pressures is most likely in this patient?

↑ Pulmonary capillary hydrostatic; ↑ alveolar interstitial hydrostatic; ↑ alveolar interstitial oncotic
↑ Pulmonary capillary hydrostatic; ↑ alveolar interstitial hydrostatic; ↓ alveolar interstitial oncotic
↑ Pulmonary capillary hydrostatic; ↓ alveolar interstitial hydrostatic; ↑ alveolar interstitial oncotic
↑ Pulmonary capillary hydrostatic; ↓ alveolar interstitial hydrostatic; ↓ alveolar interstitial oncotic
↓ Pulmonary capillary hydrostatic; ↑ alveolar interstitial hydrostatic; ↑ alveolar interstitial oncotic
↓ Pulmonary capillary hydrostatic; ↑ alveolar interstitial hydrostatic; ↓ alveolar interstitial oncotic
↓ Pulmonary capillary hydrostatic; ↓ alveolar interstitial hydrostatic; ↑ alveolar interstitial oncotic
↓ Pulmonary capillary hydrostatic; ↓ alveolar interstitial hydrostatic; ↓ alveolar interstitial oncotic

 

 

Cut-to-the-chase Answer (0:45):